Active NPI
Tannia G Cisneros, OTR/L
- Pediatric Occupational Therapist
- Sunnyvale, CA
National Provider Identifier
1073690574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 10834
- Practice address
- 1290 Lawrence Station Rd
Sunnyvale, CA 94089 - Phone
- (408) 743-5342
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 12412 | FL | |
| Pediatric Occupational Therapist | 225XP0200X | 10834 | CA | Primary |
Addresses
Primary practice location
1290 Lawrence Station Rd
Sunnyvale, CA 94089
Mailing address
1290 Lawrence Station Rd
Sunnyvale, CA 94089-2220
Phone (408) 743-5342
Other practice location 1
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-7224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12412 | FL | MD | Neurorehabilitation Occupational Therapist |
| 10834 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generation Sense, LLC | Current | Accepting new patients |
Locations
2580 Lafayette St
Santa Clara, CA 95050
Phone (408) 743-5332
1290 Lawrence Station Rd
Sunnyvale, CA 94089
Phone (408) 743-5222
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Santa Clara, CA
- NPI 1124516786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1073690574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 LAWRENCE STATION RD",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940892220",
"telephone_number": "408-743-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 LAWRENCE STATION RD",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94089",
"telephone_number": "408-743-5342"
}
],
"practiceLocations": [
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-585-7224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CISNEROS",
"first_name": "TANNIA",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "FL",
"license": "12412",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "10834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.